Clinical Trials

Multiple clinical trials evaluate the therapeutic potential of Ademetionine across diverse indications, prominently including hepatic and metabolic disorders—such as chronic hepatitis B with cholestasis, drug-induced liver injury, and nonalcoholic fatty liver disease—alongside major depressive disorder, esophageal squamous cell carcinoma, and muscle injury. Ranging from early Phase 1/2 evaluations to Phase 4 post-marketing studies and observational protocols, these investigations are supported by academic centers, hospital networks, and commercial sponsors. Recruitment statuses across these trials vary, encompassing active recruitment, completed studies, and withdrawn protocols.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07367724 RECRUITING
Obstructive Hypertrophic Cardiomyopathy (oHCM)
China National Center for Cardiovascular Diseases
2026-01-01 PHASE2
NCT06922669 RECRUITING
Drug Induced Liver Injury
General Hospital of Shenyang Military Region
2025-06-24
NCT07068191 RECRUITING
Metabolic Dysfunction-associated Fatty Liver Disease (MAFLD); Hepatomegaly; Nonalcoholic Fatty Liver (NAFL); Nonalcoholic Fatty Liver Disease (NAFLD); Fatty Liver; Fatty Liver, Alcoholic; Fatty Liver, Nonalcoholic; Fatty Liver Disease
Phenomen Pharma
2025-06-19
NCT05312372 Withdrawn
Esophageal Squamous Cell Carcinoma
Institut de Recherches Internationales Servier|ADIR a Servier Group company|Servier
2025-05 Phase 1|Phase 2
NCT05775718 Recruiting
Bone Marrow Transplant|Stem Cell Transplant
University of Colorado Denver|GlaxoSmithKline
2024-12-01 Phase 2
NCT05279196 Not yet recruiting
Muscle Injury
University Hospital Montpellier
2024-09 Not Applicable
NCT06309173 Not yet recruiting
Multiple Sclerosis
University Hospital Basel Switzerland
2024-09 --
NCT06251999 Not yet recruiting
Elderly Patients
Shanghai 6th People''s Hospital
2024-08-01 Phase 4
NCT06280742 Not yet recruiting
Multiple Sclerosis
Assistance Publique - Hôpitaux de Paris
2024-07-01 Not Applicable
NCT01998620 UNKNOWN
Hepatitis B; Cholestasis
Zhejiang Hisun Pharmaceutical Co. Ltd.
2013-11 PHASE4
NCT02200029 COMPLETED
Intrahepatic Cholestasis Associated With Alcoholic Liver Disease
Abbott
2014-06 PHASE3
NCT04623034 COMPLETED
Major Depressive Disorder
MSI Methylation Sciences, Inc.
2013-04-17 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-03-20)

Check the Ademetionine (S-Adenosylmethionine) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ademetionine acts as a principal methyl donor in enzymatic transmethylation reactions, transferring its methyl group to biological molecules to regulate essential cellular transsulfuration and polyamine biosynthetic pathways. By enhancing intracellular glutathione synthesis and mitigating oxidative damage in hepatocytes, this biochemical activity supports tissue preservation and underpins its clinical investigation in liver disorders such as cholestasis, hepatitis, and fatty liver disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.